MARTA I FOLLAT - Dentist License in Illinois | # 020014957

MARTA I FOLLAT

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014957

License Status

NOT RENEWED

Business

N

First Name

MARTA

Middle

I

Last Name

FOLLAT

Business Name

MARTA I FOLLAT

Original Issue Date

10/08/2014

Effective Date

08/27/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022